结直肠癌是消化系统常见的恶性肿瘤之一,在全世界的发病率和死亡率仍呈现逐年递增的趋势.全球范围内结直肠癌发病率位居女性恶性肿瘤的第2位,男性恶性肿瘤的第3位.中国的结直肠癌发病率为28.08/10万,死亡率为13.41/10万,位居恶性肿瘤致死病种的第5位,并且近年来直肠癌的发病趋势有所上升[1].据2014年的流行病学调查数据显示,由结直肠癌引起的预计死亡人数是50310,新发病例为136830,分别占所有癌症病例的8%和9%[2].

Objective To compare the non groin huge patch into the path preperitoneal to strengthen the visceral sac surgery(GPRVS) and groin into the advantages and disadvantages of the treatment gap road preperitoneal hernia repair(UHS),to guide the clinical application.Methods A total of 208 cases of inguinal hernia patients were divided into two groups,a group of passing preperitoneal huge patch to enhance the the visceral sac surgery(GPRVS),a total of 96 cases;group passing through the inguinal preperitoneal hernia repair(UHS),a total of 112 cases.Were compared operative time and use analgesia frequency,ambulation time,length of hospital stay,and normal activities,groin pain duration,6 months after the surgery area foreign body sensation and discomfort,hernia recurrence rate,cost of hospitalization and other parameters.The two sets of data for statistical processing and analysis.Results The two groups in the duration of groin pain 6 months after surgery area foreign body sensation and discomfort and hospitalization costs,a significant difference.Conclusion GPRVS groups in the duration of groin pain,6 months after surgery area foreign body sensation and discomfort and hospitalization costs better than the UHS group,the same as the other two.

Objective Summarized 22 cases of liver cirrhosis with portal hypertension in patients with laparoscopic cholecystectomy experience in the use of somatostatin to reduce the risk of such surgery patients. Methods 42 cases of gallstone patients with liver cirrhosis with portal hypertension were randomly divided into two groups,underwent laparoscopic cholecystectomy,in which a group of patients the use of somatostatin,another group according to conventional surgery. Patients were compared operative time,blood loss,abdominal leads to blood,postoperative bleeding,hospital stay and other parameters. Results The t test,two groups of patients with operative time,blood loss,abdominal leads to blood,postoperative bleeding,hospitalization time were significantly different(P<0.05). Conclusion Somatostatin can be effectively reduced in patients with cirrhosis laparoscopic.

胰腺实性假乳头状瘤(SPTP)是一种罕见的低度恶性的胰腺肿瘤,占胰腺原发肿瘤的0.13%～2.7%,多为年轻女性[1].根据其病理形态,国内外曾使用过多种名称,如实性乳头状上皮瘤、乳头状囊性瘤和囊实性乳头状腺泡瘤等.本文回顾性分析16例SPTP患者资料,以提高对该病的认识。

目的对硫酸镁治疗急性重症胰腺炎的应用时机进行研究,确定最佳使用时机,合理使用药物。方法随机抽取2002年1月~2008年11月住院的64例急性重症胰腺炎患者,分两组在不同时间给予硫酸镁,比较首次排便时间、腹胀缓解时间、腹腔脓肿形成、胰腺假性囊肿形成、死亡率以及恶心呕吐发生率。结果经过统计学分析,两组患者发病后的首次排便时间、腹胀缓解时间、腹腔脓肿形成、胰腺假性囊肿形成、死亡率等比较差异无统计学意义(P>0.05)。两组患者恶心呕吐发生率比较差异有统计学意义(P<0.05)。结论发病早期与后期,使用硫酸镁治疗急性重症胰腺炎,对病情的控制和转归无显著差异。